Leukemia & Lymphoma, 2014; Early Online: 1–9
© 2014 Informa UK, Ltd.
ISSN: 1042-8194 print / 1029-2403 online
DOI: 10.3109/10428194.2013.876634
Correspondence: Leo I. Gordon, Northwestern University Feinberg School of Medicine, 676 N. St. Clair, Suite 850, Chicago, IL 60611, USA. Tel: 312-695-4546.
Fax: 312-695-6189. E-mail: l-gordon@northwestern.edu
Received 26 November 2013; revised 2 December 2013; accepted 10 December 2013
REVIEW
Recent advances in mantle cell lymphoma: report of the 2013
Mantle Cell Lymphoma Consortium Workshop
Leo I. Gordon
1
, Steven H. Bernstein
2
, Pedro Jares
3
, Brad S. Kahl
4
, Thomas E. Witzig
5
& Martin Dreyling
6
1
Northwestern University Feinberg School of Medicine and the Robert H. Lurie Comprehensive Cancer Center, Chicago, IL,
USA,
2
University of Rochester Medical Center, Rochester, NY, USA,
3
Hospital Clinic, University of Barcelona, Barcelona, Spain,
4
University of Wisconsin, Madison, WI, USA,
5
Mayo Clinic, Minnesota, MN, USA and
6
University of Munich-Grosshadern,
Munich, Germany
Introduction
Mantle cell lymphoma (MCL) is an aggressive B-cell lym-
phoma characterized by cyclin D1 overexpression and the
t(11;14) translocation. Outcomes for patients with MCL
remain poor compared with other non-Hodgkin lymphoma
subtypes. No curative therapy has been identiied, and no
standard treatment approaches have been established for
initial or subsequent therapy. Recently, there have been sub-
stantial advances in the understanding of MCL biology, and
clinical trials have demonstrated signiicant clinical activity
with new treatment approaches.
A central catalyst in MCL research has been the Lym-
phoma Research Foundation (LRF), which has provided
MCL-speciic research grants and created the Mantle Cell
Lymphoma Consortium (MCLC), a working group of more
than 100 laboratory and clinical investigators from North
America and Europe focusing on MCL. For the past 10 years,
the LRF MCLC has convened a workshop in which MCL
investigators are invited to present results of their MCL-
related studies and discuss current ideas and controversies
in the ield.
he 10th MCLC Scientiic Workshop was held on 24–25
April 2013, in Atlanta, Georgia. he workshop included
sessions on MCL biology, prognostic markers, novel poten-
tial therapeutic targets, the role of stem cell transplant and
recent and ongoing clinical trials. Highlights from the work-
shop are summarized in this report.
Proceedings
State of MCL today
In the opening presentation of the session, Pedro Jares, PhD
(Hospital Clinic, University of Barcelona) reviewed the cur-
rent state of MCL science. Dr. Jares noted that prior to the
availability of genomics research, our understanding of the
molecular biology of MCL was based on identiication of
the primary oncogenic event – the t(11;14) translocation –
leading to elevated cyclin D1, and a few secondary genetic
alterations afecting cell cycle and DNA damage response
pathways. More recently, genomic studies have revealed
that MCL is in fact clinically and biologically heterogeneous.
Some MCLs are cyclin D1 negative, although they display
similar genomic alterations. hese cases display a difer-
ential miRNA proiling, and an important fraction of them
carry CCND2 rearrangement [1,2]. Other studies have iden-
tiied biomarkers that may be signiicant in MCL, includ-
ing NOTCH1 mutations [3] and in the E3 ubiquitin ligase
UBR5 [4]. Recent and ongoing research is correlating these
biomarkers and expression proiles with clinical features
Abstract
Mantle cell lymphoma (MCL) is an aggressive B-cell non-Hodgkin
lymphoma characterized by overexpression of cyclin D1 resulting
from the t(11;14) chromosomal translocation. MCL is biologically
and clinically heterogeneous and frequently disseminates to
extranodal areas. MCL remains a clinically challenging lymphoma
subtype, as there is no proven curative therapy and no standard
of care has been established for initial or subsequent lines of
therapy. However, there have been considerable advances
in the last several years in the treatment of MCL, leading to
improved survival. Recent investigations into the biology of
MCL, clinically relevant biomarkers, novel therapeutic targets
and new treatment strategies were discussed at a recent
workshop of the Lymphoma Research Foundation’s Mantle Cell
Lymphoma Consortium. The presentations are summarized in
this manuscript, which is intended to highlight areas of active
investigation and identify topics for future research.
Keywords: Lymphoma and Hodgkin disease, immunotherapy,
pharmacotherapeutics, marrow and stem cell transplant
clinical results
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